BelgiumThe evolution of allergic asthma is tightly controlled by effector and regulatory cells, as well as cytokines such as IL-10 and/or TGF-b, and it is widely acknowledged that environmental exposure to allergens and infectious agents can influence these processes. In this context, the recognition of pathogen-associated motifs, which trigger TLR activation pathways, plays a critical role with important consequences for disease progression and outcome. We addressed the question whether the TLR7 ligand resiquimod (R848), which has been shown to be protective in several experimental allergic asthma protocols, can also suppress typical asthma symptoms once the disease is established. To this end, we used an OVA-induced experimental model of murine allergic asthma in which R848 was injected after a series of challenges with aerosolized OVA. We found that the treatment attenuated allergic symptoms through a mechanism that required Tregs, as assessed by the expansion of this population in the lungs of mice having received R848, and the loss of R848-mediated suppression of allergic responses after in vivo Treg depletion. IL-10 provided only a minor contribution to this suppressive effect that was largely mediated through a TGF-b-dependent pathway, a finding that opens new therapeutic opportunities for the pharmacological targeting of Tregs.Key words: Asthma . TLR7 agonist . Tregs
IntroductionEpidemiological studies have established that in recent decades the prevalence of allergic asthma has significantly increased in developed countries. Emerging evidence attests that early life events, including exposure to allergens and infections, are critical in programming effective regulatory pathways to maintain pulmonary homeostasis. Toll-like receptor (TLR) signaling contributes prominently to CD41 T-cell activation by connecting innate and acquired immunity. Mouse models of allergic asthma have long been used to dissect the immunological mechanisms leading to asthma, and despite the heterogeneity of experimental protocols in terms of strain differences, type and dose of antigen, time and route of administration, most
1992studies have provided evidence for protective effects of natural or synthetic TLR2, TLR4, or TLR9 ligands in allergen-induced lung inflammation [1][2][3][4][5]. Similarly, the synthetic ligand of TLR7, R848 (or resiquimod), has been reported to prevent typical respiratory syndromes (airway hyperresponsiveness) and allergic inflammation (recruitment of eosinophils to the lung, production of IgE Abs, and Th2-driven cytokine production) [5][6][7][8] in treated mice.R848 was initially developed as a potential antiviral agent and exerts its immunostimulatory function via mouse TLR7 as well as human TLR7 and TLR8 [9,10]. TLR7 stimulation activates APCs through the MyD88 pathway leading to the induction of proinflammatory cytokines, chemokines, and the release of large amounts of type I IFNs together with upregulation of costimulatory molecules [11]. In the rat, R848 has been shown to inhibit the inflammatory re...